| NPI | 1275225310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS SCOTT FARMER Chief Executive Officer 800-997-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |